| Place | Time | Relay | School | City | State |
| 1 | 2:59.00 | Trent Trump (12), Nick Silverthorn (12), Maxime Rooney (10), Bryce McLaggan (12) | Granada High School | Livermore | CA |
| 2 | 2:59.36 | Blake Pieroni (12), Ethan Whitaker (12), Patrick Curley (12), Aaron Whitaker (12) | Chesterton High School | Chesterton | IN |
| 3 | 3:00.43 | Hennessey Stuart (12), Mitchell Bruckman (12), Chris Dawson (12), Austin Phillips (12) | Regis Jesuit High School | Aurora | CO |
| 4 | 3:00.59 | Jack Montesi (10), Edward Moss (11), Thomas Dillinger (11), Alexander Lewis (12) | Greenwich High School | Greenwich | CT |
| 5 | 3:01.08 | Nicholas Wargo (12), Brandon Cole (12), Bjorn Davis (12), Bryce Keblish (11) | Fairfield College Preparatory School | Fairfield | CT |
| 6 | 3:01.86 | Joseph Schooling (12), Josh Booth (12), Luke Georgiadis (12), Tyler Rice (10) | The Bolles School | Jacksonville | FL |
| 7 | 3:02.06 | Gust Kouvaris (11), Bobby Powrie (10), Mark Blinstrub (11), Joseph Krause (12) | Brother Rice High School | Bloomfield Hills | MI |
| 8 | 3:02.23 | Jacob Molacek (12), Sean Tate (11), Ryan Tate (11), Mike Bauwens (12) | Creighton Preparatory School | Omaha | NE |
| 9 | 3:02.36 | Cooper Burrill (11), Timothy Kou (12), Michael Messner (11), Aidan Burns (11) | Bellarmine College Preparatory | San Jose | CA |
| 10 | 3:02.41 | Cole Cogswell (11), Kevin Moore (12), Austin Barreiro (11), Matthew Johnson (12) | William S. Hart High School | Newhall | CA |
| 11 | 3:02.60 | Shea Macready (11), Collin Green (11), Tyler Ocasio-Pare (10), Kyle Gornay (12) | Redlands High School | Redlands | CA |
| 12 | 3:03.04 | Alex Hardwick (12), Patrick Lersch (11), Fynn Minuth (11), Ryan Dudzinski (11) | Upper St. Clair High School | Pittsburgh | PA |
| 13 | 3:03.27 | Joe Faller (12), Scott Simpson (12), Michael Camarda (12), Tim Wynter (12) | Phillips Academy | Andover | MA |
| 14 | 3:03.32 | Vince Everman (11), Joe Vizza (10), Jake Sannem (9 ), Greg Brocato (10) | LaSalle College High School | Wyndmoor | PA |
| 15 | 3:03.49 | Zachary Buerger (12), Max Staresinic (11), Casey Melzer (11), Sam Rutan (12) | North Allegheny Senior High School | Wexford | PA |
| 16 | 3:03.54 | Quinn Smith (12), Miles Smachlo (10), Alan Lam (11), Matthew Hrabchak (11) | Deerfield Academy | Deerfield | MA |
| 17 | 3:03.69 | Patrick Park (12), Sean Han (11), Roman Horoszewski (10), Josh Daniel (12) | The Peddie School | Hightstown | NJ |
| 18 | 3:03.71 | Kyle Otazu (12), Sean Lee (9 ), Ryan Wilson (11), Corey John (12) | Loyola High School | Los Angeles | CA |
| 19 | 3:03.72 | Kyle Colley (12), Ander Thompson (12), Hunter Fuqua (10), Jake Markham (12) | Cherry Creek High School | Englewood | CO |
| 20 | 3:03.91 | Harry Sale (11), Eric Akins (10), Elijah Hoenshel (11), Robert Slaughter (11) | Klein High School | Klein | TX |
| 21 | 3:03.97 | Adam Drury (12), Steven Fishman (12), John Remmes (12), Jake Miller (11) | University High School | Normal | IL |
| 22 | 3:04.00 | Sam McHugh (12), Chandler Hinson (12), Will Raines (11), Christian Selby (11) | The Baylor School | Chattanooga | TN |
| 23 | 3:04.05 | Aaron Brysch (12), Aaron Moran (12), Brandon Parker (11), Arthur Bjontegard (11) | Louis D. Brandeis High School | San Antonio | TX |
| 24 | 3:04.12 | Alex Liang (9 ), William Lee (12), Andrew Cho (10), Andrew Liang (12) | Palo Alto High School | Palo Alto High School | CA |
| 25 | 3:04.76 | Alec Niederland (12), Nathan Torres (12), Thomas Gillespie (12), Thomas Smith (11) | Edison High School | Huntington Beach | CA |
| 26 | 3:04.83 | Grant Goddard (11), Brandon Goldstein (11), Carsten Vissering (11), Adrian Lin (11) | Georgetown Preparatory School | North Bethesda | MD |
| 27 | 3:04.88 | Patrick Conaton (12), Oliver Patrouch (12), Declan Kennon (12), Richard Mannix (12) | Fordham Preparatory School | Bronx | NY |
| 28 | 3:04.91 | Eyan Eagle (12), Cameron Pou (12), Trey Pofahl (11), Philip Perdue (12) | J. H. Rose High School | Greenville | NC |
| 29 | 3:05.05 | Calvin Kirkpatrick (11), Maxwell Bottene (10), Eric VanBrocklin (11), Michal Zyla (12) | Northgate High School | Walnut Creek | CA |
| 30 | 3:05.13 | Nathan Anderson (12), Michael Shaben (12), Nicholas Ross (11), Enrique Hernandez Olivia (11) | Birmingham Seaholm High School | Birmingham | MI |
| 31 | 3:05.28 | Matt Slabe (10), Mitchell Frey (11), Mike Montague (12), Grant House (9 ) | Saint Xavier High School | Cincinnati | OH |
| 32 | 3:05.40 | Ian Keane (12), Terry Johnson (10), Christopher Wieser (12), Keegan Shuping (12) | Jesuit High School | Carmichael | CA |
| 33 | 3:05.47 | Tristan Sanders (12), Luis Rivadeneira (11), Manuel Barragan (12), Taylor Uselis (12) | Palm Harbor University High School | Palm Harbor | FL |
| 34 | 3:05.49 | Jack Blake (9 ), Grady Ottomeyer (11), Coby Palivathukal (12), Brad Dorsey (12) | Brophy College Preparatory | Phoenix | AZ |
| 35 | 3:05.50 | Kyle Coan (12), Brian Whittington (11), Jared Strong (12), Michael Forbes (12) | Los Osos High School | Rancho Cucamonga | CA |
| 36 | 3:05.61 | Jonathan Roberts (12), Carson Klein (11), Taylor Willenbring (12), Austin Whalen (10) | Southlake Carroll High School | Southlake | TX |
| 37 | 3:05.83 | Curtis Ogren (12), David Ren (10), Sean Elmurib (11), Ben Ho (10) | Saint Francis High School | Mountain View | CA |
| 38 | 3:06.04 | Matt Jones (12), Matt Honnold (12), James Murphy (10), James Jones (10) | Robinson Secondary School | Fairfax | VA |
| 39 | 3:06.05 | Dan Moreno (12), John Clancy (12), Trey Perry (12), Cole Buese (11) | Loyola Blakefield | Towson | MD |
| 40 | 3:06.13 | Rafael Felix (11), Matthew Chalcarz (12), Nicholas Norman (11), Austin Sechrest (10) | Capistrano Valley High School | Mission Viejo | CA |
| 41 | 3:06.17 | Ryan Hoffer (9 ), Austin Drummond (12), Weston Miller (12), Parker Greene (12) | Chaparral High School | Scottsdale | AZ |
| 42 | 3:06.40 | Grant Watson (10), Arjun Sharma (11), Matthew Lennon (11), Talbot Jacobs (12) | The College Preparatory School | Oakland | CA |
| 43 | 3:06.42 | Hunter Doerr (11), Tommy Baker (10), Caleb Hicks (10), Jack Dangremond (11) | Air Academy High School | USAFA | CO |
| 44 | 3:06.44 | Austin Takeda (12), David Peterson (10), Skyler Schilke (12), Stewart Harrison (12) | Ventura High School | Ventura | CA |
| 45 | 3:06.45 | Matthew Freudenthaler (11), Chase Mcqueen (10), Cody Taylor (12), Samuel Loescher (12) | Columbus North High School | Columbus | IN |
| 46 | 3:06.47 | Corey Okubo (11), Alejandro Ortiz (11), Matthew Wong (11), Hoon Lee (12) | University High School | Irvine | CA |
| 47 | 3:06.51 | Kevin Wylder (12), Brandon Schnuelle (12), Justin Dillon (11), Ryan Whelan (12) | Granite Bay High School | Granite Bay | CA |
| 48 | 3:06.52 | Marc Morizono (10), Arturo Cerda (11), James Betz (12), Grant Shoults (10) | Santa Margarita Catholic High School | Rancho Santa Margarita | CA |
| 49 | 3:06.61 | Alex Katz (12), Liam McKane (12), Carter Page (11), Drew Clark (10) | Riverview High School | Sarasota | FL |
| 49 | 3:06.61 | David Dingess (11), Jake Williams (11), Jack Gunning (12), Mark Keaveney (12) | Walton High School | Marietta | GA |
| 51 | 3:06.65 | Adrian Lafont-Mueller (10), Chris Russo (12), Ryan Knohl (11), Joe Seguine-Hall (12) | Evanston Township High School | Evanston | IL |
| 52 | 3:06.73 | Alex Pena (12), Harlin Bessire (12), David Perez (12), Andrew duPont (10) | Lake Highland Preparatory School | Orlando | FL |
| 53 | 3:06.76 | Nick Arakelian (12), Parker Belmore (12), Jacob Goeddeke (12), Jackson O'dowd (10) | Stevenson High School | Livonia | MI |
| 54 | 3:06.86 | Noah Deer (12), Zachary Woo (12), Trenton Dawson (12), Samuel Sutherland (11) | Punahou School | Honolulu | HI |
| 55 | 3:06.88 | Ben Burdick (12), Spencer Satz (12), Reilly Garman (11), Mitch Cooper (12) | Carmel High School | Carmel | IN |
| 56 | 3:06.89 | Matthew Harrington (11), Justin Fu (11), Atticus Rush (12), Alex Snarski (12) | Libertyville High School | Libertyville | IL |
| 57 | 3:07.24 | Nathan Christian (12), Dmitri Simcox (9 ), Rayon Artis (10), Peter Simcox (12) | Saint Ignatius High School | Cleveland | OH |
| 58 | 3:07.26 | Caleb Van Boven (11), Michael Zarian (9 ), Alex Walton (12), Miles MacKenzie (12) | Fairview High School | Boulder | CO |
| 59 | 3:07.34 | Murphy McQuet (11), Tomo Sharpee (11), Connor Fotsch (12), Jae Park (12) | New Trier High School | Winnetka | IL |
| 60 | 3:07.36 | Caeleb Dressel (12), Grady Heath (11), Matt Bonna (11), Dakota Mahaffey (10) | Clay High School | Green Cove Springs | FL |
| 60 | 3:07.36 | Andrew Weiss (12), Noah Deiparine (12), Brandt Waesche (12), Ian Caldwell (11) | Mercer Island High School | Mercer Island | WA |
| 62 | 3:07.45 | Benon Boyadjian (12), Gregory Meyer (12), Gabriel Pasqualucci (12), James Davey (12) | Pomperaug High School | Southbury | CT |
| 63 | 3:07.53 | Grant Lewis (11), Greg Sprout (12), Grant Sprout (10), Parks Jones (11) | Avon High School | Avon | IN |
| 64 | 3:07.61 | Ryan Peters (12), Michael Lombardo (11), Tommy Kelly (12), Cooper Hoffman (11) | Countryside High School | Clearwater | FL |
| 65 | 3:07.66 | Austin Doss (12), William Drexler (11), Jack Kushner (10), Zach Luttrell (12) | Hershey High School | Hershey | PA |
| 66 | 3:07.67 | Jake Rollo (10), Michael Williams (10), Hank Poppe (10), Clayton Peterson (12) | San Ramon Valley High School | Danville | CA |
| 67 | 3:07.69 | James Tidd (11), Kent Rabideaux (11), Sam Scholz (12), Garrett Verhoeven (11) | East Ridge High School | Woodbury | MN |
| 68 | 3:07.73 | Kyle Maas (10), Blake Wheeler (11), Danny Kiel (11), Tabahn Afrik (11) | Holland West Ottawa High School | Holland | MI |
| 69 | 3:07.74 | Tyler Sullivan (12), Matt Bode (11), Coley Sullivan (10), Lee Bradley (10) | Louisville Collegiate School | Louisville | KY |
| 70 | 3:07.75 | Donovan Pope (12), Mark Wilson (12), Jordan Bovee (11), Harrison Pierce (12) | Princess Anne High School | Va Beach | VA |
| 71 | 3:07.79 | Jack Fergus (12), Mike Burke (12), Dan Creighton (12), Andrew Kasper (11) | Marmion Academy | Aurora | IL |
| 72 | 3:07.80 | Ross Palazzo (11), Cole Clampffer (10), Doni Moffa (12), Brendon Mulcahey (11) | Hudson High School | Hudson | OH |
| 73 | 3:07.84 | Michael Pichette (11), Ian Simpson (12), Austin Wilson (12), Dj Arslanian (10) | Strongsville High School | Strongsville | OH |
| 74 | 3:07.91 | Ryan Bohl (12), Cameron Gelwicks (11), Tyler Harmon (9 ), Kyle DeCoursey (11) | Zionsville Community High School | Zionsville | IN |
| 75 | 3:07.93 | Banistre Lienhart (12), Aneil Srivastava (12), Adam Pircon (11), Brian Portland (11) | Hinsdale Central High School | Hinsdale | IL |
| 75 | 3:07.93 | Mate Kovacs (11), Kyle Morris (10), Adam Wait (11), Hudson Bursch (12) | Penn High School | Mishawaka | IN |
| 77 | 3:07.95 | Triston Mosby (12), Alex Turner (11), Robin Kuebler (10), James Boone (11) | Grandview High School | Aurora | CO |
| 78 | 3:07.99 | Jack Madigan (11), Jake Simpson (10), Dominic Dalpiaz (11), Forrest White (10) | De La Salle High School | Concord | CA |
| 79 | 3:08.00 | Fernando Ferreira Velazquez (11), Justin Le (11), Kane Kaneshiro (12), Aidan Tol (12) | Beckman High School | Irvine | CA |
| 80 | 3:08.02 | Patrick Tippen (12), Grant Pinchot (11), Andrew Mitchell (12), Chris Guo (11) | Solon High School | Solon | OH |
| 81 | 3:08.03 | Christopher J. Schaffer (12), William Beard (10), Christopher Cary (12), Zachary Maher (9 ) | Malvern Preparatory School | Malvern | PA |
| 82 | 3:08.07 | Chandler Tenney (12), Colin Cavanaugh (11), Luke Schuler (12), Justin Wright (12) | Clovis West High School | Fresno | CA |
| 83 | 3:08.13 | Connor Beers (11), Zachary J. Koch (10), Graham J. Hauss (9 ), Seth L. Nabors (10) | Clovis High School | Clovis | CA |
| 84 | 3:08.14 | Scott Luttmann (10), Christopher Devlin (12), Ogden Leyens (10), Michael Jensen (10) | Upper Dublin High School | Fort Washington | PA |
| 85 | 3:08.24 | Rj Williams (11), Nick Bigot (12), Lomax Turner (9 ), Bobby Gehlen (12) | Terra Linda High School | San Rafael | CA |
| 85 | 3:08.24 | Jason Jung (9 ), Jack Koravos (10), Kyle Pilachowski (10), Brian Poon (11) | Westford Academy | Westford | MA |
| 87 | 3:08.39 | Sam Feiser (12), Colin Bauer (10), Basil Mokhallalati (12), Alex McCullough (12) | Owen J. Roberts High School | Pottstown | PA |
| 88 | 3:08.40 | Alexander Kapphahn (11), Austin Rasmussen (10), Zack Reuter (9 ), Luke Hastie (12) | Rio Americano High School | Sacramento | CA |
| 89 | 3:08.42 | Kai Williams (11), Andrew Heise (10), Matthew Erickson (12), Daniel Wu (12) | Ann Arbor Pioneer High School | Ann Arbor | MI |
| 90 | 3:08.43 | Aidan Keen (10), Will Scott (10), Matt Anderson (11), Mark McGlaughlin (10) | Iowa City West High School | Iowa City | IA |
| 91 | 3:08.54 | Parker Jadwin (12), Yu-Bin Kim (12), Ryan Lee (12), David Puczkowski (11) | Westlake High School | Westlake Village | CA |
| 92 | 3:08.65 | Jacob Deckman (9 ), Nick Francis (12), Ben Johnston (11), Jack Brenneman (12) | Cumberland Valley High School | Mechanicsburg | PA |
| 93 | 3:08.67 | Jay Wellman (11), Ryan Loushin (12), Patrick Cusick (11), Max Lee (12) | Alpharetta High School | Alpharetta | GA |
| 94 | 3:08.68 | Rob Newman (11), Zach Smith (12), Mike Summe (11), Chase Vennefron (12) | Covington Catholic High School | Park Hills | KY |
| 95 | 3:08.72 | Joe Shepley (12), Graham Hazlett (10), Andrew Eigner (11), Will Belmont (10) | Phillips Exeter Academy | Exeter | NH |
| 96 | 3:08.73 | Henry Baer (12), Weston Carpenter (11), Austin Wentzel (12), Nick Inserra (12) | Acalanes High School | Lafayette | CA |
| 97 | 3:08.74 | Jon Salomon (11), Sam Salganik (10), Seamus Heneghan (12), Kevin Benson (12) | Glenbrook South High School | Glenview | IL |
| 98 | 3:08.75 | Riley Delahoyde (10), Billy Wells (12), Daniel Deysher (11), Hunter Bains (12) | Lewis-Palmer High School | Monument | CO |
| 99 | 3:08.78 | Carl Skoog (10), Ethan Eiler (10), Beau Blazek (10), Sam Gorham (10) | West Des Moines Valley High School | West Des Moines | IA |
| 100 | 3:08.86 | Will Tener (12), Jack Ramanot (12), Lane Luyckx (12), John Schihl (12) | Bloomfield Hills High School | Bloomfield Hills | MI |
| 100 | 3:08.86 | Daniel Flower (12), Feodor Orlov (12), Ian Stamm (12), Grant Horton (12) | Dublin Coffman High School | Dublin | OH |